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�C: ���: ��i� <br /> RESIDENTIAL - OCCIJPIED <br /> PETITION FOR ANNEXATION <br /> TO THE HONORABLE MAYOR AND CITY COUI�ICIL OF THE CITY OF DECATUR,ILLINOIS: <br /> The undersigned,under oath,respectfully represents as follows: <br /> l. That helshe is an owner of record,or an eiector(person registered to vate)residing therein,of aii the property herein <br /> described. <br /> 2. That at least 51%of the electors(person(s)registered to vote}wha reside on the property herein described have signed <br /> and do jain in the petition. <br /> 3. That the property herein described is not within the corporate limits of any municipality. <br /> 4. That the praperty herein described is cantiguous{adjacent)to the City of Decatur. <br /> 5. That only the following listed adult person(s)(over 18 years of age)reside in the property to be annexed.(Please list <br /> the name of each adult person residing in the praperty to be annexed,including middle initial.} <br /> �f�'� �t ��� � r�t C �� q'� � r <br /> �l� �" r � �': �'�t' d � --E'r <br /> _ � <br /> 6. That the petitioner(s)request(s)that the City af Decatur,annex the property cammonly described as 2368 Captain <br /> Lane,and legally describetf as follaws: <br /> LOT 56�57 OF WILCOX WAYSIQE FARMS ADDITI{�N <br /> P1N# 04-12-OS-305-019 &04-12-OS-305-020 <br /> WHEREFORE,petitioner(s)request(s)the above described property be annexed to the City of Decatur,in accordance <br /> with the Statutes in such case made and provided. <br /> SIGNATURE PRINTED NAME STREET ADDRESS, CITY, STATE <br /> E�- /??� G d��t-E' � �"' ��`lL+n--+'� "�.�E� �< �af�` ,�.J1�' ll�'G'�2'Tir�` �.. � <br /> r't� f.l �/I (,.1 Y)')�./1� J CJ C�C.� CI l✓7 U'1 �!'.L'�/�1�'�; .�� <br /> Signed and swarn ta before rne this day af t.�. ` I ,20 j� <br /> I�.__ � <br /> � Natary Public <br /> ._ - -�— <br /> (Rev. I2/2014) �'q{�q F�, BACHSTEIN <br /> OFF'ICIAL SEAL <br /> No#ary Pubiic-State of lilinais <br /> My Commission Expires May 12,2023 <br />